Global Postural Reeducation for patients with musculoskeletal conditions: a systematic review of randomized controlled trials

Abstract

ObjectivesTo systematically review randomized controlled trials that assessed the effects of Global Postural Reeducation (GPR) on patient-reported outcomes in conditions of the musculoskeletal system.MethodAn electronic search of MEDLINE (via PubMed), EMBASE, Cochrane CENTRAL, and SciELO was performed from their inception to June 2015. Randomized controlled trials that analyzed pain and patient-reported outcomes were included in this review. The Cochrane Collaboration’s Risk of Bias Tool was used to evaluate risk of bias, and the quality of evidence was rated following the GRADE approach. There were no language restrictions.ResultsEleven trials were included totaling 383 patients. Overall, the trials had high risk of bias. GPR was superior to no treatment but not to other forms of treatment for pain and disability. No placebo-controlled trials were found.ConclusionGPR is not superior to other treatments; however, it is superior to no treatment. Due to the lack of studies, it is unknown if GPR is better than placebo. The quality of the available evidence ranges from low to very low, therefore future studies may change the effect estimates of GPR in musculoskeletal conditions.

Prevalence and factors associated with neck pain: a population-based study

“…It can have an impact on the individual's physical, social, and psychological well-being, contributing to increasing costs to society and businesses. In addition, with the increasing aging population of medium- and low-income countries, the prevalence of neck pain will grow significantly in the coming decades, 8 requiring knowledge of the risk factors and forms of preventive and/or curative interventions (for example, global postural re-education, segmental stretching, 9 dry needling, and percutaneous electrical nerve stimulation, 10 among others). It is also important to highlight that, in Brazil, population-based studies regarding pain have been frequently related to lumbar or general pain, 11 while neck pain needs further research.…”

Effects of Global Postural Reeducation versus Specific Therapeutic Neck Exercises on Pain, Disability, Postural Control, and Neuromuscular Efficiency in Women with Chronic Nonspecific Neck Pain: Study Protocol for a Randomized, Parallel, Clinical Trial

“…Global postural reeducation (GPR) is a conservative treatment that we can consider as a global postural exercise method, and widely used in physical therapy clinical practice in many countries [55,56]. Some studies support the clinical effectiveness of GPR in treating patients with different musculoskeletal disorders and impairments [57][58][59][60][61][62][63], including cranio-cervico-mandibular complex [64][65][66][67][68][69][70][71][72].…”

Effectiveness of Global Postural Reeducation in Ankylosing Spondylitis: A Systematic Review and Meta-Analysis

“…Previous studies have shown the effectiveness of GPR treatment to be superior to physical therapy [12], and, according to the literature, the effects of GPR are quite broad in other pathologies, acting on muscle flexibility [9,[13][14][15][16][17][18][19], postural organisation [19][20][21][22], functionality [6,23,24], cognition, quality of life [6,16,21,25] and reducing pain [16][17][18]26], fatigue [24], and others [21,[27][28][29]. The benefits of GPR in AS, however, have been analysed either in conjunction with other types of treatment or were not studied in depth [4,30,31].…”